1357026 九、發明說明: 【發明所屬之技術領域】 本發明係關於一種資訊交換方法及其飼服哭 β 關於一種醫療資訊交換方法及資訊交換網站伺服°器/、疋 【先前技術】 保險已為生活中不可或缺的一 二,各家保險公,無不推出各種保險商品,以== ::難:而’對於—,則是長久以=克者 造成保險理賠效率低落的原因, ,申請保險理賠時,必須填妥相 並 =人常需要與醫院直接接洽辦理, =)’ =任C於所需文件資料或流程不熟ϊ 更多時間再次向醫行補件’此時將耗費 杆叙X進仃文件的申請。尤其是對於長者、 瑣且冗县的二ί病尚完全未康復的被保險人來說,如此繁 、 、王序,將造成被保險人於申請理賠時的不便。 被保::常或不同保險商品時, 哪些保險商品貝回想出究竟在哪幾家保險公司有投保 但其僅 此外,雖然有保險公司採用加速理賠的模式, 5 M>/〇26 二:。申請:目;接收目標項目,目標項目係由使用者於至 —可I咕項目中挑選;以及傳送目標項目所對應之至少 文件品求至相對應之至少一醫療單位伺服器。 【實施方式】 為,本發明之上述和其他目的、特徵和優點能更明顯 作詳細說出本發明之具體實施例,並配合所附圖式, 严产力月口 考圖1係本發明之資訊交換網站伺服器之使用 二資=換網站饲服器1〇係作為醫療資訊交換 服器9。電二接:醫二:器8〇與業務單位伺 疋伐具T,西療早位伺服器80盥掌潞罝你 伺服器90的數量不限。 ,、某務早位 罝二本例中’係以保險公司之保險理賠為例。業矛欠 5服态90即為保險業者所屬 n 器8〇即為韻所叙舰器。 何服 用不限於此。舉例來說,案』疋本發明之應 , 兄業務早位伺服器90亦可為封合、_ 利機構、保險代辦機構、政府部門、勞保局、八仅“田 之伺服器等。 ’、。A保局所屬 本發明之資訊交換網站飼服器1〇係透過可相 — f之網路"以接收與傳遞醫療單位龍器80*業矛欠^貝 柯服裔9G所提供之相關資訊。舉例來說 、=立 :網路或電信網路等。其中,資訊交換網站词服二=同 處理器30與記憶體20 ^口 10包括 -資料庫24,藉由處理器己包^式22與第 W仃屺隱體20之軟體程式 7 丄357026 可中請項目計算而來,透過試算,提供使用者70較 佳之申請理賠方案。例如當醫療住院給付同時存 itj與「實支實付」_ ’可先行計算何方案對使用者7〇 舉例來說’若使用者70住院15天,醫療費用共 :’使^者70的投保項目同時包括每日)萬元的「按日給付 情萬元的「實支實付」’在只能選擇其中一種的」 障况下…貝讯交換網站伺服器1〇即計算出:若以 付」可獲得理賠15葸亓,以「麻*垂从, 牧《、,’口 萬元。 15紅U貝支貫付」則可獲得理賠27 步驟206:接收目標項目,目標項目係由使用者於至少一可 申請項目中挑選。 使用網站飼服器1〇接收目標項目,目標項目係由 用去可申請項目中挑選。於本實施例中,使 用者70係相清單上勾·成為目標項目。 步_^^項目所對應之至少—文件需求至相對應 V 一醫療單位词服器。 恭係以保險公司為單位,向醫院進行索取醫 〜、貝…(例如需要幾張診斷書、幾張收據等)。、 步驟208 :。接收至少-文件需求。 J療單位伽I!轉收到至少—文件需求。 1357026 ' · » μ表示申請文件上有補件也無法克服之情形(例如根本 不符理賠規定,亦無補件之問題),因而退件。接著便將代 表退件」之訊息回傳到資訊交換網站伺服器10之後’便 t止流程。傳遞至資訊交換網站伺服器ig之訊息以供 查詢、追蹤之用。 欠,·貝 (3)通過 =件齊備,且通過審核,即表示使用者%可獲得理 二严〇者:將代表「通過」之訊息回傳到資訊交換網站伺 之後’便停止流程。傳遞至資訊交 之訊息以供後續查詢、追蹤之用。 ㈧服裔10 步驟扣至少-補件資訊,並且傳送補 父換網站伺服器。 主貝矾 吾保險業者審核後發現有資料 。。 服器90產生至少—補件資 /之處_早位词 90傳遽至次邙六故牛 補件η訊從業務單位伺 寻避至貝0凡父換網站飼服器】0。 服。。1357026 IX. Description of the invention: [Technical field of invention] The present invention relates to an information exchange method and a feeding service crying thereof. About a medical information exchange method and an information exchange website servo device, 疋 [prior art] insurance has been Indispensable in life, each insurance company, all kinds of insurance products, to ==: difficult: and 'for-, is the reason for the long-term low-cost insurance claims, the application, apply Insurance claims must be completed and = people often need to contact the hospital directly, =) ' = C is not familiar with the required documents or procedures ϊ More time to replenish the doctor's time Syria X file application. Especially for the insured who is not recovering from the elderly, the trivial and the redundant county, such a complicated, and Wang Xu will cause inconvenience to the insured when applying for compensation. Insured:: When it comes to different or different insurance products, which insurance products come back to figure out which insurance companies are insured, but only in addition, although there are insurance companies adopting the accelerated claims model, 5 M>/〇26 2:. The application target: the target item is selected by the user in the -I project, and the at least one document corresponding to the target item is delivered to the corresponding at least one medical unit server. BRIEF DESCRIPTION OF THE DRAWINGS The above and other objects, features, and advantages of the present invention will become more apparent from the embodiments of the invention. The use of the information exchange website server is the same as the medical information exchange server. Electric two: Medical 2: 8 〇 with the business unit 疋 疋 T T, West treatment early server 80 盥 潞罝 伺服 伺服 伺服 伺服 伺服In the second instance, the insurance claims of insurance companies are taken as an example. The industry spears 5, the service state 90 is the insurer's own n 8 〇 is the rhyme of the ship. The application is not limited to this. For example, the case of the invention, the brother business early server 90 can also be a seal, _ profit agencies, insurance agencies, government departments, labor insurance bureaus, eight only "Tianzhi server, etc.." The information exchange website of the present invention belongs to the information exchange website of the present invention, and the information provided by the medical unit is received and transmitted by the medical unit. For example, = stand: network or telecommunication network, etc. Among them, the information exchange website word service two = the same processor 30 and the memory 20 ^ port 10 includes - the database 24, by the processor has been included 22 The software program 7 丄 357026 of the WII hidden body 20 can be calculated from the project, and the user 70 is better able to apply for a claim settlement plan. For example, when the medical hospitalization payment is saved, the ITJ and the "real payment" are saved. _ 'You can calculate the plan first. For example, if the user 70 is hospitalized for 15 days, the medical expenses are: 'The insurance plan for the 70 person also includes the daily) 10,000 yuan. Yuan’s "real pay" "can only choose one of them" Next...Baixun exchange website server 1 is calculated: If you pay "can obtain a claim of 15", "Ma* 垂 从, 牧",, '口万万. 15 红 U 贝支付付" A claim 27 is available. Step 206: Receiving a target item, the target item is selected by the user in at least one of the available items. The target item is received using the website feeding device, and the target item is selected from the available applications. In the present embodiment, the user 70 is linked to the list and becomes the target item. The step _^^ item corresponds to at least the file requirement to the corresponding V medical unit word service. Mr. Christine asked the hospital for medical treatment, such as doctors, etc. (for example, several medical certificates, several receipts, etc.). , step 208:. Receive at least - file requirements. J treatment unit gamma I! received at least - file requirements. 1357026 ' · » μ indicates that there is a situation in the application file that cannot be overcome (for example, there is no problem with the claims, and there is no problem with the replacement), so the item is returned. Then, the message of "returning the representative" is sent back to the information exchange website server 10, and then the process is stopped. The message passed to the information exchange website server ig for query and tracking purposes.欠,·贝 (3) Passed = complete, and approved, that means the user can get the rationale. The stricter: After the message of “passing” is sent back to the information exchange website, the process is stopped. Pass the message to the information for subsequent inquiry and tracking. (8) Service 10 Steps deduct at least - the patch information, and send the supplement to the website server. After the review, the main insurance company found information. . The server 90 generates at least - the replenishment capital / the place _ the early word 90 Chuanqi to the second 邙 six cows. The supplement η news from the business unit to avoid the shell 0 to the father to change the website feeding machine] 0. clothes. .
步驟2】3 :從至少一 f款„D ^業務早位伺服器接收至少一 並且將至少一補件資气值 為矾, 療單位飼服器。 傳遞至相對應之至少1 步驟2M:接收至少—補件資訊。 醫療單位伺服器_收到至少—補件資訊Step 2] 3: Receive at least one from at least one f „D^ service early server and at least one supplement value 矾, the treatment unit feeds the device. Pass to the corresponding at least 1 step 2M: Receive At least - patch information. Medical unit server _ received at least - patch information